Individual
ANGELA BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-2800
(614) 293-2801
Mailing address
660 ACKERMAN RD, P.O. BOX 183103, COLUMBUS, OH 43202-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD4796
—
Other
Enumeration date
04/17/2006
Last updated
03/19/2008
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